<!DOCTYPE html>
<html xmlns:th="http://www.thymeleaf.org">
<head>
    <meta charset="UTF-8">
    <title>开票申请</title>
    <meta name="viewport" content="width=device-width, initial-scale=1  maximum-scale=1 user-scalable=no">
    <meta name="mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-touch-fullscreen" content="yes">
    <meta name="HandheldFriendly" content="True">

    <link rel="stylesheet" href="/css/materialize.css">
    <link rel="stylesheet" href="/font-awesome/css/font-awesome.min.css">
    <link rel="stylesheet" href="/css/normalize.css">
    <link rel="stylesheet" href="/css/owl.carousel.css">
    <link rel="stylesheet" href="/css/owl.theme.css">
    <link rel="stylesheet" href="/css/owl.transitions.css">
    <link rel="stylesheet" href="/css/fakeLoader.css">
    <link rel="stylesheet" href="/css/animate.css">
    <link rel="stylesheet" href="/css/magnific-popup.css">
    <link rel="stylesheet" href="/css/style.css">

    <link rel="shortcut icon" href="/img/favicon.png">

</head>
<body>
<!-- contact us -->
<div class="pages section">
    <div class="container">
        <div class="pages-head">
            <h3>开票申请</h3>
        </div>
        <div class="contact-us">
            <div class="row">
                <div class="col s12">
                    <form class="apply-form" id="apply-form" method="post">
                        <input type="hidden" id = "openid" th:value="${openid}">
                        <input type="hidden" id = "recordid" th:value="${recordid}">
                        <div class="form-group" id="address-field">
                            <input type="text" class="validate" id="form-address" name="form-address" placeholder="详细地址" required>
                        </div>
                        <div class="form-group" id="postal-field">
                            <input type="text" class="validate" id="form-postal" name="form-postal" placeholder="邮编" required>
                        </div>
                        <div class="form-group" id="invoice-field">
                            <input type="text" class="validate" id="form-invoice" name="form-invoice" placeholder="发票抬头" required>
                        </div>
                        <div class="form-group" id="batch-field">
                            <input type="text" class="validate" id="form-batch" name="form-batch" placeholder="发票批号" required>
                        </div>
                        <div class="form-group" id="email-field">
                            <input type="email" class="validate" id="form-email" name="form-email" placeholder="电子邮箱" required>
                        </div>
                        <div class="form-group" id="phone-field">
                            <input type="text" class="validate" id="form-phone" name="form-phone" placeholder="收件人电话" required>
                        </div>
                        <div class="form-group">
                            <button class="btn button-default" type="submit" id="submit" name="submit">提交申请</button>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
<!-- end contact us -->


<!-- scripts -->
<script src="/js/jquery.min.js"></script>
<script src="/js/materialize.min.js"></script>
<script src="/js/owl.carousel.min.js"></script>
<script src="/js/fakeLoader.min.js"></script>
<script src="/js/animatedModal.min.js"></script>
<script src="/js/apply-form.js"></script>
<script src="/js/main.js"></script>

</body>
</html>